Surgery; its theory and practice . star-shaped or transverse, or it may run verticallyor obliquely through the spine ; but commonly it is limited to theinfraspinous fossa, and frequently the angle is alone broken displacement is not usually very marked, as the fragments arewell covered with muscles. Signs.—On fixing the angle of thescapula with one hand, and raising the arm, crepitus and painmay be elicited. On running the fingers along the spine anddown the posterior border, some irregularity may be detectedwhen these parts are involved, and on grasping the bone the frag-ments may be
Surgery; its theory and practice . star-shaped or transverse, or it may run verticallyor obliquely through the spine ; but commonly it is limited to theinfraspinous fossa, and frequently the angle is alone broken displacement is not usually very marked, as the fragments arewell covered with muscles. Signs.—On fixing the angle of thescapula with one hand, and raising the arm, crepitus and painmay be elicited. On running the fingers along the spine anddown the posterior border, some irregularity may be detectedwhen these parts are involved, and on grasping the bone the frag-ments may be felt to move on each other. Treatment.—Littlecan be done beyond confining the scapula by strapping and abandage to the chest, and restraining the motions of the arm bybandaging it to the side. 2. Fracture of the neck.—By this is understood fracture throughthe surgical neck, /. <?., internal to the coracoid, so that the latterprocess is separated with the glenoid cavity from the rest of the 420 INJURIES OF REGIONS. Fig. I. Fracture of the neck of the scapula. (Guys Hospital Museum.) bone. There is a specimen of it in the Hunterian and in GuysHospital Museum (Fig. i6S), though it is stated by some not tooccur. The sigfis which have been ascribed to this injury re-semble those of dislocation of the humerus downwards. Thedeformity, however, is said to disappear on pressing up theelbow, when crepitus can be elicited, and to reappear on remov-ing the pressure. The /rea/men/recom-mended is to raise the elbow, andmaintain the parts in their restoredposition by a bandage. 3. Fracture of the acromion mayoccur at any situation. Cause.—Directviolence, such as a blow or fall on theshoulder. Nature of the displacement.—The outer fragment is drawn down-wards by the deltoid, leaving a gap be-tween it and the rest of the — Pain, flattening of theshoulder, presence of a gap on drawingthe finger along the spine, acromion,and clavicle; and crepitus on raisingthe arm a
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectsurgery, bookyear1896
